Individual
MARY STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 974-6243
(601) 292-4589
Mailing address
PO BOX 2153, DEPT 1947, BIRMINGHAM, AL 35287-0002
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1084
MS
Other
Enumeration date
12/31/2015
Last updated
09/25/2023
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